Molly D Lisenby, PT

NPI #1023060001 in Peoria, Illinois

Provider Information

NPI Number
1023060001
Entity Type
Individual
Name
Molly D Lisenby, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 17, 2006
Last Updated
Jul 31, 2018

Practice Location

Address
5009 N EXECUTIVE DR STE B
City
Peoria
ZIP Code
61614
Phone
(309) 839-8631

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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